Individual
MISS STEPHANIE WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
119 W H AVE, NORTH LITTLE ROCK, AR 72116-8733
(501) 772-3224
(501) 771-7648
Mailing address
504 BRENT DR, SHERWOOD, AR 72120-6057
(501) 920-0804
(501) 771-7648
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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